MEDICARE: RESOLUTIONS HOSPICE - AUSTIN LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency
2	251G00000X	Community Based Hospice Care Agency	011453	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417162504
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESOLUTIONS HOSPICE - AUSTIN LLC

Provider Business Mailing Address
First Line	:	1101 ARROW POINT DR STE 301
Second Line	:
City	:	CEDAR PARK
State	:	TX
Zip	:	78613-7740
Country	:	US
Telephone Number	:	512-343-5555
Fax Number	:	512-628-6183

Provider Business Practice Location Address
First Line	:	11825 BUCKNER ROAD
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78726-1716
Country	:	US
Telephone Number	:	512-343-5555
Fax Number	:	512-628-3447

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	JOI BODINE
Credential	:	RN
Telephone Number	:	281-384-4207

Provider Enumeration Date	:	05/11/2007
Last Update Date	:	01/08/2019

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